NCLEX - NERVOUS SYSTEM Day3
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26 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A nurse working in a neurology clinic receives the following telephone messages. Which client should the nurse call back first?
Client prescribed sumatriptan who has throbbing left temple pain preceded by an aura
Client taking carbidopa-levodopa who has dizziness when rising from a sitting or lying position
Client with myasthenia gravis who has a fever and increasing difficulty swallowing
Client with trigeminal neuralgia who reports burning cheek pain after eating ice cream
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2.
MULTIPLE SELECT QUESTION
1 min • 1 pt
The graduate nurse cares for several poststroke clients. Which of the following nursing interventions are appropriate? Select all that apply.
Implement fall precautions for the client with cerebellar stroke
Increase lighting for the client with cranial nerve VII affected
Initiate swallow precautions for the client with cranial nerves IX and X affected
Place spoon within field of vision for the client with homonymous hemianopsia
Speak louder in front of the client who has receptive aphasia
3.
MULTIPLE SELECT QUESTION
1 min • 1 pt
An intoxicated client not wearing a seatbelt drives into a metal barricade near the entrance to the emergency department. The client's head has hit the windshield, and the client is unconscious. What nurse actions are appropriate? Select all that apply.
Assess the client for a carotid pulse
Determine the client's Glasgow Coma Scale score
Maintain airway with head-tilt/chin-lift maneuver
Place a hard cervical collar on the client
Remove the client from the car onto a backboard
4.
MULTIPLE SELECT QUESTION
1 min • 1 pt
The nurse is assessing a client with delirium. Which of the following findings would the nurse expect to observe? Select all that apply.
inability to maintain attention
involuntary movements of the face
spastic paralysis and hyperreflexia
incoherent and disorganized speech
consciousness fluctuating from drowsy to combative
5.
MULTIPLE SELECT QUESTION
1 min • 1 pt
The emergency department nurse is assessing a client brought in after a car accident in which the client's head hit the steering column. Which assessment findings would indicate that the triage nurse should apply spinal immobilization? Select all that apply.
Breath smells of alcohol
Client disoriented to place
Client reports eyes burning
History of multiple sclerosis
Point tenderness over spine
6.
MULTIPLE SELECT QUESTION
1 min • 1 pt
The nurse is caring for a client who had a transsphenoidal hypophysectomy and developed diabetes insipidus. Which of the following findings would the nurse expect to observe? Select all that apply.
excessive thirst
increased urine output
increased serum osmolality
decreased serum sodium level
increased urine specific gravity
7.
MULTIPLE SELECT QUESTION
1 min • 1 pt
The nurse provides education for caregivers of a client with Alzheimer disease. Which instructions should the nurse include? Select all that apply.
Complete activities such as bathing and dressing as quickly as possible
Decrease the client's anxiety by limiting the number of choices offered
Redirect the client if agitated by asking for help with a task or going for a walk
Remember to interact with the client as an adult, regardless of childlike affect
Use open-ended questions when communicating with the client
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